SouthEast Regional MorAb Club
SEMAC Membership Application

Please print and mail this form with check or money order made out to
SouthEast MorAb Club care of Kelly Hall, 2817 102nd Ave. East,  Parrish, FL 34219
or to Mary Lou Wells at 558 Dogwood Valley Rd.,  Kingston, TN 37763

Name:  ___________________________________________          age (if under 18) ______________

Parent/Legal Guardian (if under age 18) __________________________________________________

Farm Name:________________________________________

_______ Adult Membership yearly ($15)       __________ Youth ($10)              __________Family ($20)

Address: _________________________________________________________________________

________________________________________________________________________________

Phone: _(________)_______________________   e-mail: _________________________

Website url (if you have one) ___________________________________________________________

Discipline/s: (i.e. dressage, jumping, western, trail, reining, racing, backyard hack, etc.) ________________
__________________________________________________________________________________

I am interested in participating in these activities: (please place an 'x')

_____club meetings              ____Shows              _____Horse Fairs/Breed Demos            _____Trail Rides

_____Fun outings                 _____Training Clinics         ______Judges Workshops           _______Newsletter

_____Organizing local/state group          _______Breed PR         ______Publications          ______Breed/ Liasion

_____ Parades
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_____ yes, please list my name for nomination to year 2002 Board of Directors, for position:

 President _____________                                        Vice President__________

 Secretary_____________                                          Treasurer_____________

 Events Committee ________________                  State Coordinator ___________ (state of) ___________
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Breeder or Member Listing:      _____ Yes, please list me on the public SEMAC Breeders/Member list!

Stallions standing at stud (reg. name) _____________________________________Breed________________

   ______________________________________________Breed_________________

   ______________________________________________Breed_________________

Young stock _____                Broodmares for sale/lease ______              Boarding ____             Training_____


Breeds owned:     _________Morab            _________Arabian        ________ Half-Arabian     _________Morgan

___________________________________________________________Other breeds owned.: Please Specify

I don't own a horse at this time________

Breed Association/s:    ___AMHA        ___IAHA       ___MHA    ___Archival MR       ___Canadian Morab Asso.

_______________________________________________________________Other breed Asso.: Please Specify
 

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